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NPI Code Detail

MEDICARE: MR. CHRISTOPHER J M BROOKS MD

MEDICARE:  MR. CHRISTOPHER J M BROOKS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery PhysicianME92569FL

Other Identifiers

General Provider Information

NPI Number : 1184694952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER J M BROOKS MD
Provider Business Mailing Address
First Line : 3800 JOHNSON ST
Second Line : STE G
City : HOLLYWOOD
State : FL
Zip : 33021-6030
Country : US
Telephone Number : 954-501-0505
Fax Number : 954-756-7560
Provider Business Practice Location Address
First Line : 3800 JOHNSON ST
Second Line : STE G
City : HOLLYWOOD
State : FL
Zip : 33021-6030
Country : US
Telephone Number : 954-501-0505
Fax Number : 954-756-7560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 10/28/2016

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Directions to “ MR. CHRISTOPHER J M BROOKS MD” Practice Location

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